Individual
MR. GENARO DAGAN FULLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
830 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1048
(743) 610-9993
Mailing address
1301 CATHERINE ST, ANN ARBOR, MI 48109-2026
(734) 936-4000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002574
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
02/12/2022
Last updated
11/03/2025
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